Aoki Mayu, Omoto Hideyuki, Yamashita Sumio, Ito Hiroshi
Dept. of Surgery, Fukaya Red Cross Hospital.
Gan To Kagaku Ryoho. 2020 Dec;47(13):2035-2037.
To date, neoadjuvant endocrine therapy has shown the same rate of clinical objective response and breast-conserving surgery as neoadjuvant chemotherapy in postmenopausal patients with hormone receptor-positive breast cancer. Moreover, neoadjuvant endocrine therapy is recommended to the patients who are unable to tolerate side effects associated with chemotherapy or who are ineligible for immediate surgery because of their age and comorbidity. We discuss the result of neoadjuvant endocrine therapy in our hospital last 5 years. Nine patients underwent preoperative endocrine therapy between 2015 and 2019. Pathological examinations consisted 7 invasive ductal carcinomas and 2 mucinous carcinomas. The result of preoperative examinations was 7 partial response(PR), 1 complete response(CR), and 1 progress disease(PD). 3 months after initiation, all patients were examined by palpation and US. 6 months after initiation, all patients showed a partial response. These results suggest that neoadjuvant endocrine therapy allows downstaging of tumors and more minimally invasive surgery.
迄今为止,在激素受体阳性的绝经后乳腺癌患者中,新辅助内分泌治疗已显示出与新辅助化疗相同的临床客观缓解率和保乳手术率。此外,对于无法耐受化疗相关副作用或因年龄和合并症而不符合立即手术条件的患者,推荐新辅助内分泌治疗。我们讨论了我院过去5年新辅助内分泌治疗的结果。2015年至2019年间,9例患者接受了术前内分泌治疗。病理检查包括7例浸润性导管癌和2例黏液癌。术前检查结果为7例部分缓解(PR),1例完全缓解(CR),1例疾病进展(PD)。开始治疗3个月后,所有患者均接受触诊和超声检查。开始治疗6个月后,所有患者均显示部分缓解。这些结果表明,新辅助内分泌治疗可使肿瘤降期并实现更微创的手术。